Individual
LAURA ANDRA PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.D.
Contact information
Practice address
1115 VINE ST, PASO ROBLES, CA 93446-2560
(805) 238-2632
Mailing address
1115 VINE ST, PASO ROBLES, CA 93446-2560
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104583
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
31858
TX
Other
Enumeration date
08/02/2016
Last updated
01/31/2020
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